Nursing Elites

1. You have orders to administer 20 mg of a certain medication to a patient. The medication is stored at a concentration of 4 mg per 5-mL dose. How many milliliters will need to be administered?

• A. 30 mL
• B. 25 mL
• C. 20 mL
• D. 15 mL

Correct answer: B

Rationale: To administer 20 mg of the medication, you would need 25 mL. This calculation is derived from the concentration of 4 mg per 5 mL. By setting up a proportion, you can determine that for 20 mg, 25 mL must be administered as follows: (20 mg / 4 mg) = (x mL / 5 mL). Solving for x results in x = 25 mL. Choice A is incorrect because it miscalculates the proportion. Choices C and D are incorrect as they do not account for the correct concentration of the medication.

2. The physician ordered 20 mg of Tylenol per kg of body weight; on hand is 80 mg per tablet. The child weighs 44 lb. How many tablets will you give?

• A. 5 tablets
• B. 5.5 tablets
• C. 4.5 tablets
• D. 3 tablets

Correct answer: A

Rationale: First, convert the child's weight from pounds to kilograms: 44 lb ÷ 2.2 = 20 kg. Next, calculate the required dosage: 20 kg × 20 mg/kg = 400 mg. Since each tablet contains 80 mg, divide the total dosage by the dosage per tablet: 400 mg ÷ 80 mg/tablet = 5 tablets. Therefore, the correct answer is 5 tablets. Choice B is incorrect because it does not account for the actual number of tablets needed. Choice C is incorrect as it is an underestimation of the required tablets. Choice D is incorrect as it is an underestimation of the required tablets.

3. How many pints are there in 4 quarts?

• A. 2 pints
• B. 8 pints
• C. 16 pints
• D. 32 pints

Correct answer: B

Rationale: To convert quarts to pints, we know that 1 quart is equivalent to 2 pints. Therefore, to find out how many pints are in 4 quarts, we multiply 2 pints by 4, which equals 8 pints. Hence, the correct answer is 8 pints. Choice A (2 pints) is incorrect because it represents the conversion of 1 quart, not 4 quarts. Choice C (16 pints) and Choice D (32 pints) are incorrect as they miscalculate the conversion by not considering the correct conversion factor of 2 pints per quart.

4. If Gwen's favorite summer drink is 2 parts fruit juice to 3 parts seltzer and she starts with a gallon of fruit juice, how many quarts of seltzer will she need?

• A. 3 quarts
• B. 4.5 quarts
• C. 5 quarts
• D. 6 quarts

Correct answer: D

Rationale: To maintain the ratio of 2 parts fruit juice to 3 parts seltzer, for every 2 parts of fruit juice, Gwen will need 3 parts of seltzer. Since a gallon of fruit juice is equivalent to 4 quarts, she will need 3 quarts of seltzer for every 2 quarts of fruit juice. For 4 quarts of fruit juice, she will require 6 quarts of seltzer. Therefore, Gwen will need 6 quarts of seltzer to make the summer drink for her friends. Choice A (3 quarts) is incorrect because it does not account for the correct ratio. Choice B (4.5 quarts) is incorrect because it is not a whole number and does not align with the ratio provided. Choice C (5 quarts) is incorrect as it does not match the proportional ratio of fruit juice to seltzer required.

5. There are 6,657 marbles in a jar. Approximately 34% are white, and the rest are black. How many black marbles are there?

• A. 4,394
• B. 4,000
• C. 3,000
• D. 5,000

Correct answer: A

Rationale: To find the number of black marbles, we need to calculate the percentage that represents the black marbles, which is 100% - 34% = 66%. Then, we find 66% of 6,657 to determine the number of black marbles. 66% of 6,657 is approximately 4,394, so there are 4,394 black marbles in the jar. Choice A is correct. Choices B, C, and D are incorrect as they do not reflect the correct calculation for the number of black marbles in the jar.

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